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护士在实施术后加速康复中的作用

[Role of the nurse in the implementation of enhanced recovery after surgery].

作者信息

Pignot G

机构信息

Service de chirurgie oncologique 2, institut Paoli-Calmettes, 232, boulevard de Sainte-Marguerite, 13008 Marseille, France.

出版信息

Prog Urol. 2019 Nov;29(15):904-907. doi: 10.1016/j.purol.2019.08.269. Epub 2019 Aug 28.

Abstract

INTRODUCTION

Enhanced recovery after surgery (ERAS) requires a reorganization of care and optimal coordination of the different perioperative steps. The coordinating nurse has a crucial role in setting up such a protocol.

MATERIAL AND METHODS

We have identified the tasks of the coordinating nurse in the patient's management.

RESULTS

The role of the coordinator is major in the different steps to: inform the patient, reduce the consequences of surgical stress, solicit other actors according to the needs of the patient, anticipate the organization of care and discharge of the patient by staying in touch with a network of liberal nurses, detect alerts justifying readmission, promote and stimulate recovery of autonomy of the patient.

CONCLUSION

The coordinating nurse is one of the pillars of ERAS protocol, allowing a harmonization of the multidisciplinary management in order to establish an optimal organization between the patient and the different actors of the care course.

摘要

引言

术后加速康复(ERAS)需要对护理进行重新组织,并对围手术期的不同步骤进行优化协调。协调护士在制定这样一个方案中起着关键作用。

材料与方法

我们确定了协调护士在患者管理中的任务。

结果

协调员的作用在不同步骤中至关重要:告知患者,减轻手术应激的后果,根据患者需求征求其他医护人员的意见,通过与自由职业护士网络保持联系来预测患者护理和出院的安排,发现需要再次入院的警示信号,促进并激励患者恢复自主能力。

结论

协调护士是ERAS方案的支柱之一,能够实现多学科管理的协调统一,从而在患者与护理过程中的不同医护人员之间建立最佳的组织架构。

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